NPI | 1568585271 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: CO 53919) |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 46891-20) |
2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: CO 53919) | |
Enumeration Date | 2007-04-09 |
Last Update Date | 2014-06-24 |